دورية أكاديمية
National Trends in Emergency Department Visits for Suicide Attempts and Intentional Self-Harm.
| العنوان: | National Trends in Emergency Department Visits for Suicide Attempts and Intentional Self-Harm. |
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| المؤلفون: | Bommersbach TJ; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minn. (Bommersbach); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, and New York State Psychiatric Institute, New York (Olfson); Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., New England Mental Illness Research, Education, and Clinical Center, VA Connecticut Healthcare System, West Haven, Conn., and Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington (Rhee)., Olfson M; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minn. (Bommersbach); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, and New York State Psychiatric Institute, New York (Olfson); Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., New England Mental Illness Research, Education, and Clinical Center, VA Connecticut Healthcare System, West Haven, Conn., and Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington (Rhee)., Rhee TG; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minn. (Bommersbach); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, and New York State Psychiatric Institute, New York (Olfson); Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., New England Mental Illness Research, Education, and Clinical Center, VA Connecticut Healthcare System, West Haven, Conn., and Department of Public Health Sciences, University of Connecticut School of Medicine, Farmington (Rhee). |
| المصدر: | The American journal of psychiatry [Am J Psychiatry] 2024 Aug 01; Vol. 181 (8), pp. 741-752. Date of Electronic Publication: 2024 Jun 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Psychiatric Association Country of Publication: United States NLM ID: 0370512 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-7228 (Electronic) Linking ISSN: 0002953X NLM ISO Abbreviation: Am J Psychiatry Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Arlington, VA : American Psychiatric Association |
| مواضيع طبية MeSH: | Emergency Room Visits*/statistics & numerical data , Emergency Room Visits*/trends , Emergency Service, Hospital*/statistics & numerical data , Emergency Service, Hospital*/trends , Self-Injurious Behavior*/epidemiology , Self-Injurious Behavior*/psychology , Suicide, Attempted*/statistics & numerical data , Suicide, Attempted*/trends , Suicide, Attempted*/psychology, Adolescent ; Adult ; Aged ; Child ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Cross-Sectional Studies ; Health Care Surveys ; United States/epidemiology |
| مستخلص: | Objective: This study estimated national annual trends and characteristics of emergency department visits for suicide attempts and intentional self-harm in the United States from 2011 to 2020. Methods: Data were from the National Hospital Ambulatory Medical Care Survey, an annual cross-sectional national sample survey of emergency departments. Visits for suicide attempts and intentional self-harm were identified using discharge diagnosis codes (ICD-9-CM for 2011-2015; ICD-10-CM for 2016-2020) or reason-for-visit codes. The annual proportion of emergency department visits for suicide attempts and intentional self-harm was estimated. Results: The weighted number of emergency department visits for suicide attempts and intentional self-harm increased from 1.43 million, or 0.6% of total emergency department visits, in 2011-2012 to 5.37 million, or 2.1% of total emergency department visits in 2019-2020 (average annual percent change, 19.5%, 95% CI=16.9, 22.2). Visits per capita increased from 261 to 871 visits per 100,000 persons (average annual percent change, 18.8%, 95% CI=17.6, 20.0). The increase in visits was widely distributed across sociodemographic groups. While suicide attempt and intentional self-harm visits were most common among adolescents, adults age 65 or older demonstrated the largest increase (average annual percent change, 30.2%, 95% CI=28.5, 32.0). Drug-related diagnoses were the most common co-occurring diagnosis among suicide attempt and intentional self-harm visits. Despite the rise in emergency department visits for suicide attempts and intentional self-harm, less than 16% included an evaluation by a mental health professional. Conclusions: A significant national increase in emergency department visits for suicide attempts and intentional self-harm occurred from 2011 to 2020, as a proportion of total emergency department visits and as visits per capita. These trends underscore an urgent need to improve the continuum of mental health care for individuals with suicidal symptoms. |
| فهرسة مساهمة: | Keywords: Emergency Psychiatry; Epidemiology; Suicidal Behavior; Suicide and Self-Harm |
| تواريخ الأحداث: | Date Created: 20240604 Date Completed: 20240801 Latest Revision: 20240823 |
| رمز التحديث: | 20240826 |
| DOI: | 10.1176/appi.ajp.20230397 |
| PMID: | 38831705 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1535-7228 |
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| DOI: | 10.1176/appi.ajp.20230397 |